DOUGLAS WYNN STATEN


Address: 1544 Piedmont Ave Ne, Atlanta, GA 30324-5018
Phone: 4048920074

DOUGLAS WYNN STATEN (NPI# 1487721890) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1487721890
Entity Type Individual
Full Name DOUGLAS WYNN STATEN
Credential RPH
Practice Address 1544 Piedmont Ave Ne
Atlanta
GA 30324-5018
Mailing Address 765 Argonne Ave Ne Apt C
Atlanta
GA 30308-1672
Practice Telephone 4048920074
Mailing Telephone 4042189704
Enumeration Date 2006-11-29
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 183500000X Pharmacist RPH021909 GA Pharmacy Service Providers

Office Location

Street Address 1544 PIEDMONT AVE NE
City ATLANTA
State GA
Zip Code 30324-5018

Providers in the same location

NPI Name Taxonomy Address Enumeration
1972570927 Brian Douglas Knight Chiropractor 1544 Piedmont Ave Ne, Suite 402, Atlanta, GA 30324-5018 2006-03-08
1518502269 Lindsay Malphrus Pharmacist 1544 Piedmont Ave Ne, Atlanta, GA 30324-5018 2019-11-16
1174958458 Keith A Warren Pharmacist 1544 Piedmont Ave Ne, Atlanta, GA 30324-5018 2013-09-05
1841573748 Teresa Marie Stokes Optometrist 1544 Piedmont Ave Ne, Atlanta, GA 30324-5018 2011-09-27
1265710370 Trudy Schneider Gerrard Pharmacist 1544 Piedmont Ave Ne, Store 0599, Atlanta, GA 30324-5018 2011-07-25
1598928913 Eye On Peachtree Inc. Clinic/Center 1544 Piedmont Ave Ne, Suite 320, Atlanta, GA 30324-5018 2008-07-07
1255492260 Reena Gupta Optometrist 1544 Piedmont Ave Ne, Suite 320, Atlanta, GA 30324-5018 2006-12-13
1003919861 Georgia Cvs Pharmacy, L.L.C. Durable Medical Equipment & Medical Supplies 1544 Piedmont Ave Ne, Atlanta, GA 30324-5018 2006-09-07
1528008091 Publix Super Markets Inc Durable Medical Equipment & Medical Supplies 1544 Piedmont Ave Ne, Atlanta, GA 30324-5018 2006-06-06
1881643468 Donna M Polk Chiropractor 1544 Piedmont Ave Ne, Suite 402, Atlanta, GA 30324-5018 2006-05-09
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1174158919 Marianella Anzola Dietitian, Registered Grady Brookhaven Health Center, 2695 Buford Hwy Ne 200, Atlanta, GA 30324 2020-03-11
1326515636 Jacqueline Beckhom Rehabilitation Counselor Trinity Social Services, LLC 50 Lenox Pointe, Ne Suite, Atlanta, GA 30324 2018-10-25
1366925497 David Wayne Richardson Psychiatry & Neurology 400 Rock Springs Road Ne, Atlanta, GA 30324 2018-09-14
1730625989 Hwh, LLC In Home Supportive Care 1108 Pine Heights Dr Ne, Atlanta, GA 30324 2017-01-12
1780134403 The Kroger Co Durable Medical Equipment & Medical Supplies 2452 Morosgo Way Ne, Atlanta, GA 30324 2016-10-05
1063891372 Jacqueline Nguyen Family Medicine 1125 Norwich Cir Ne, Atlanta, GA 30324 2015-05-20
1306277595 Gerald Elroy Mitchell Occupational Therapist 1261 La Vista Road Ne, L - 4, Atlanta, GA 30324 2013-12-12
1487086138 Continuum Care Group Anesthesiology 3574 Lenox Rd, 655, Atlanta, GA 30324 2013-08-05
1336589183 Mary Azar Pride Registered Nurse 30-b Lenox Pte. N.e., Bldg 30 - Suite B, Atlanta, GA 30324 2013-06-26
1447594569 Harley Anti-aging Institute LLC Medical Genetics, Ph.D. Medical Genetics 2678 Buford Highway Ne, Atlanta, GA 30324 2012-11-15
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Taxonomy Information

Taxonomy Code 183500000X
Grouping Pharmacy Service Providers
Classification Pharmacist

Taxonomy Definition

An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1093312464 Gloria Rinomhota Pharmacist 25 Peachtree St Sw # Se, Atlanta, GA 30303-3140 2020-10-07
1760098404 Lisa Ann Mcwhorter Loux Pharmacist 57 Executive Park S Ste 400, Atlanta, GA 30329-2249 2020-09-18
1073124178 Erin Marriott Pharmacist 171 17th St Nw Ste 1400, Atlanta, GA 30363-1069 2020-08-12
1447869797 Caitlyn Sue Elmes Pharmacist 756 Bellemeade Ave Nw, Atlanta, GA 30318-3104 2020-07-23
1700404241 Hoang Anh Rebecca Phan Pharmacist 1160 Johnson Fy Rd Ne Unit 1475, Atlanta, GA 30342-2356 2020-07-10
1073130597 Tri Minh Phan Pharmacist 755 Mount Vernon Hwy Ne Ste 450, Atlanta, GA 30328-4292 2020-06-30
1649894411 Lisa Aquillano Pharmacist 12 Executive Park Dr Ne Ste 556, Atlanta, GA 30329-2206 2020-06-08
1417570565 Raidel Redondo Pharmacist 1100 Hammond Dr Ste 500, Atlanta, GA 30328-8191 2020-05-23
1720601255 Dawn Lieber Sasine Pharmacist 164 W Wieuca Rd Ne Ste 7, Atlanta, GA 30342-3231 2020-05-19
1821617119 Erin Jessica Searles Pharmacist 424 Decatur St Se Ste 100, Atlanta, GA 30312-1848 2020-04-16
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Competitor

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City ATLANTA
Zip Code 30324

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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